KELLY J KIVEL LPCC, LPC
NPI 1134565278
Counselor - Professional in Rosemount, MN

Active since May 16, 2013PECOS Enrolled
15265 CARROUSEL WAY, ROSEMOUNT, MN 55068(952) 443-4600 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly J Kivel Lpcc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY J KIVEL LPCC, LPC (NPI 1134565278) is an individual professional provider in Rosemount, Minnesota, licensed in Minnesota (CC02290) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1134565278
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY J KIVELCredential: LPCC, LPC
Location Address15265 CARROUSEL WAYRosemount, MN 55068-1760
Mailing Address15265 Carrousel WayRosemount, MN 55068-1760 · (952) 443-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 16, 2013
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1134565278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02290
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 856226 (WI)
15265 CARROUSEL WAY, Rosemount, MN 55068

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly J Kivel Lpcc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325498876
PECOS Enrollment IDI20231222002746
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Kivel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Social Worker (Clinical)
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Student in an Organized Health Care Education/Training Program
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Social Worker (Clinical)
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068
Psychologist (Clinical)
15265 CARROUSEL WAY
ROSEMOUNT, MN 55068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kivel's NPI number?

The NPI number for Kelly Kivel is 1134565278. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Kelly Kivel located?

Kelly Kivel practices at 15265 Carrousel Way, Rosemount, MN 55068. The listed phone number is (952) 443-4600.

What is Kelly Kivel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Kivel enrolled in Medicare?

Yes. Kelly Kivel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Kivel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kivel reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Kivel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kivel accept?

Health plans from HealthPartners list Kelly Kivel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Kivel was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.